Individual
MOHAMMAD M TALAFHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070023513
IL
225100000X
Physical Therapist
Primary
PT7064
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070023513
IL DEPT OF FINANCIAL & PROF REG
IL
Enumeration date
05/29/2018
Last updated
09/01/2021
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